Covered Entity Details

CHC08240-12 HopeHealth, Inc. (Active) - information as of 6/4/2025 1:16:38 PM

Main Details

Name

HopeHealth, Inc.

Subdivision Name

HopeHealth Bethea

Type

HRSA-Funded Health Center

Site ID

BPS-H80-021667

340B ID

CHC08240-12

Grant Number

H80CS08240

Additional Details

Current Program Status

Active

Registration Date

4/11/2018

Participating Start Date

7/1/2018

Participating Approval Date

4/20/2018

Last Recertification Date

3/3/2025

Contacts

Authorizing Official

HopeHealth
Carl Humphries, CEO
(843) 667-9414 Ext: 1500

Primary Contact

HopeHealth
Christi Epps, Chief Pharmacy Officer
(803) 206-1382

Addresses

Street Address

157 Home Ave
Darlington, SC 29532

Billing Address

HopeHealth
360 North Irby Street
Florence, SC 29501

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
SC	FQC162	1124564497,1346601812,1164198016

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC08240-00	Active	BPS-H80-017703	HopeHealth, Inc.	HopeHealth Irby Street	360 N Irby ST	Florence	SC
CHC08240-01	Active	BPS-H80-010450	HopeHealth, Inc.	HopeHealth @ FMU	121 S Evander Dr	Florence	SC
CHC08240-02	Active	BPS-H80-008173	HopeHealth, Inc.	HopeHealth, Inc.	600 E Palmetto St	Florence	SC
CHC08240-03	Active	BPS-H80-035404	HopeHealth, Inc.	HopeHealth Lake City- Sauls Street	148 Sauls St STE A	Lake City	SC
CHC08240-05	Active	BPS-H80-012324	HopeHealth, Inc.	HopeHealth Lake City School-based Health Center	652 N. Matthews Rd.	Lake City	SC
CHC08240-06	Active	BPS-H80-012452	HopeHealth, Inc.	HopeHealth Manning Adult	12 W South St A and B	Manning	SC
CHC08240-07	Active	BPS-H80-012450	HopeHealth, Inc.	HopeHealth Timmonsville	210 E Market St	Timmonsville	SC
CHC08240-08	Active	BPS-H80-012449	HopeHealth, Inc.	HopeHealth Manning Pediatrics	12 W South St C	Manning	SC
CHC08240-09	Active	BPS-H80-012459	HopeHealth, Inc.	HopeHealth Kingstree	520 Thurgood Marshall Blvd STE B	Kingstree	SC
CHC08240-10	Terminated	BPS-H80-012840	HOPEHEALTH INC	HopeHealth @ McLeod	506 E Cheves St	Florence	SC
CHC08240-11	Active	BPS-H80-016921	HopeHealth, Inc.	HopeHealth Greeleyville	86 N Main St	Greeleyville	SC
CHC08240-12	Active	BPS-H80-021667	HopeHealth, Inc.	HopeHealth Bethea	157 Home Ave	Darlington	SC
CHC08240-13	Active	BPS-H80-028106	HopeHealth, Inc.	HopeHealth Orangeburg	1857 Joe S. Jeffords Hwy	Orangeburg	SC
CHC08240-14	Active	BPS-H80-031426	HopeHealth, Inc.	HopeHealth Second Loop Rd	1920 2nd Loop Rd	Florence	SC
CHC08240-15	Active	BPS-H80-032816	HopeHealth, Inc.	HopeHealth Pine Needles	3380 Pine Needles Rd	Florence	SC
CHC08240-16	Active	BPS-H80-031385	HopeHealth, Inc.	HopeHealth Manning School-based Health Center	2155 Paxville Hwy	Manning	SC
CHC08240-17	Terminated	BPS-H80-032571	HopeHealth, Inc.	HopeHealth Mill Street	409 S Mill St	Manning	SC
CHC08240-18	Active	BPS-H80-032572	HopeHealth, Inc.	HopeHealth Hemingway	2266 Hemingway Hwy	Hemingway	SC
CHC08240-19	Active	BPS-H80-035648	HopeHealth, Inc.	HopeHealth Timmonsville School-based Health Center	304 Kemper St	Timmonsville	SC
CHC08240-20	Active	BPS-H80-038841	HOPEHEALTH, INC.	HopeHealth Williamsburg	411 Thurgood Marshall Hwy	Kingstree	SC
CHC08240-21	Approved	BPS-H80-039730	HOPEHEALTH INC	HopeHealth at the Manor	2100 Twin Church Road STE B	Florence	SC

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC08240-00	ACARIAHEALTH PHARMACY #11, INC	1311 W SAM HOUSTON PKWY N STE 130		HOUSTON	TX	77043-4015	01/01/2021	01/01/2021
CHC08240-00	ACARIAHEALTH PHARMACY, INC.	3021 SANDY PARKWAY	BLDG 2, STE A & B	COLUMBUS	GA	31909-1695	01/01/2021	05/03/2021
CHC08240-00	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	01/01/2020
CHC08240-00	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	01/01/2020
CHC08240-00	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	01/01/2020
CHC08240-00	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	01/01/2020	07/13/2023
CHC08240-00	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	01/01/2020
CHC08240-00	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	01/01/2020
CHC08240-02	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	10/01/2019	07/07/2023
CHC08240-00	ADVANCED CARE SCRIPTS, INC	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	6251 CHANCELLOR DRIVE SUITE 101	ORLANDO	FL	32809	07/01/2023
CHC08240-00	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	09/27/2018
CHC08240-01	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	09/27/2018
CHC08240-02	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	09/27/2018
CHC08240-03	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	09/27/2018
CHC08240-05	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/01/2021
CHC08240-06	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/01/2021
CHC08240-07	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/01/2021
CHC08240-08	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/01/2021
CHC08240-09	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/01/2021
CHC08240-11	AHSSHC	EXPEDIEN RX PHARMACY	5050 WESLEY RD STE 120	APOPKA	FL	32712	01/01/2017	10/01/2021
CHC08240-00	ANDERSON PHARMACY	419 S MILL ST	PO DRAWER 518	MANNING	SC	29102-2918	07/01/2013
CHC08240-02	ANDERSON PHARMACY	419 S MILL ST	PO DRAWER 518	MANNING	SC	29102-2918	01/01/2014	04/12/2023
CHC08240-06	ANDERSON PHARMACY	419 S MILL ST	PO DRAWER 518	MANNING	SC	29102-2918	01/01/2014	04/12/2023
CHC08240-08	ANDERSON PHARMACY	419 S MILL ST	PO DRAWER 518	MANNING	SC	29102-2918	01/01/2014	04/12/2023
CHC08240-00	BRUNSON'S PHARMACY, LLC	12 N BROOKS ST	PO BOX 1250	MANNING	SC	29102-3206	04/01/2014	09/27/2018
CHC08240-02	BRUNSON'S PHARMACY, LLC	12 N BROOKS ST	PO BOX 1250	MANNING	SC	29102-3206	04/01/2014	09/27/2018
CHC08240-06	BRUNSON'S PHARMACY, LLC	12 N BROOKS ST	PO BOX 1250	MANNING	SC	29102-3206	10/01/2013	10/01/2021
CHC08240-08	BRUNSON'S PHARMACY, LLC	12 N BROOKS ST	PO BOX 1250	MANNING	SC	29102-3206	01/01/2014	10/01/2021
CHC08240-02	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	10/01/2019	07/07/2023
CHC08240-00	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	07/01/2023
CHC08240-02	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	10/01/2019	07/07/2023
CHC08240-00	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	07/01/2023
CHC08240-02	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	10/01/2019	07/07/2023
CHC08240-00	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	07/01/2023
CHC08240-02	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	10/01/2019	07/07/2023
CHC08240-00	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	07/01/2023
CHC08240-02	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	10/01/2019	07/07/2023
CHC08240-00	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	07/01/2023	05/01/2025
CHC08240-02	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	10/01/2019	07/07/2023
CHC08240-00	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	07/01/2023
CHC08240-02	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	10/01/2019	07/07/2023
CHC08240-00	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	07/01/2023
CHC08240-02	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	10/01/2019	07/07/2023
CHC08240-00	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	07/01/2023
CHC08240-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	10/01/2019	07/07/2023
CHC08240-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	07/01/2023
CHC08240-00	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2021
CHC08240-02	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	01/01/2022	04/12/2023
CHC08240-00	CENTERWELL PHARMACY, INC.	9843 WINDISCH RD		WEST CHESTER	OH	45069	01/01/2021	01/01/2024
CHC08240-00	CENTERWELL PHARMACY, INC.	10737 MARKS WAY		MIRAMAR	FL	33025	01/01/2021	07/13/2023
CHC08240-00	CENTERWELL PHARMACY, INC.	11010 FLORIDA CROWN DRIVE, SUITE 200		ORLANDO	FL	32824	10/01/2023	01/01/2024
CHC08240-00	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	10/01/2021
CHC08240-02	CVS CAREMARK	DBA CVS/CAREMARK OR CF# 11506	1 GREAT VALLEY BOULEVARD	WILKES BARRE	PA	18706	01/01/2022	07/07/2023
CHC08240-00	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	10/01/2021
CHC08240-02	CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC	DBA CVS/CAREMARK 48067	1780 WALL ST	MT PROSPECT	IL	60056	01/01/2022	07/07/2023
CHC08240-00	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2021
CHC08240-02	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	01/01/2022	04/12/2023
CHC08240-00	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	10/01/2019	11/21/2023
CHC08240-00	ECKERD CORPORATION	RITE AID #11623	1825 WEST PALMETTO STREET	FLORENCE	SC	29501	04/01/2014	01/23/2018
CHC08240-00	ECKERD CORPORATION	RITE AID #11624	204 WEST PINE STREET	FLORENCE	SC	29501	04/01/2014	01/23/2018
CHC08240-02	ECKERD CORPORATION	RITE AID #11623	1825 WEST PALMETTO STREET	FLORENCE	SC	29501	01/01/2016	09/27/2018
CHC08240-02	ECKERD CORPORATION	RITE AID #11624	204 WEST PINE STREET	FLORENCE	SC	29501	01/01/2016	09/27/2018
CHC08240-00	F AND L DRUG	223 N JONES RD	PO BOX 428	OLANTA	SC	29114	07/01/2018	09/27/2018
CHC08240-00	FOUNDATION CARE LLC	111 CHESTERFIELD INDUSTRIAL BLVD STE 115		CHESTERFIELD	MO	63005	01/01/2021	01/01/2021
CHC08240-00	FRED'S PHARMACY #2106	480 NELSON BLVD		KINGSTREE	SC	29556-4025	07/01/2017	07/01/2019
CHC08240-00	GENOA HEALTHCARE LLC	4 HARBISON WAY		COLUMBIA	SC	29212	10/01/2021	11/21/2023
CHC08240-02	GREELEYVILLE PHARMACY	P.O. BOX 277	215 VARNER AVE	GREELEYVILLE	SC	29056-2905	10/01/2014	10/01/2021
CHC08240-00	KJ PHARMACY, INC 159	2300 PAMPLICO HWY		FLORENCE	SC	29505	01/01/2020	10/01/2021
CHC08240-02	KJS PHARMACY #129	240 KELLEY STREET		LAKE CITY	SC	29560	10/01/2014	10/01/2021
CHC08240-00	LONG'S KILBOURNE ROAD PHARMACY	D/B/A AVITA PHARMACY 1053	630 KILBOURNE RD	COLUMBIA	SC	29205-2827	01/01/2018	12/31/2021
CHC08240-00	LONGS CLOSED DOOR PHARMACY	111 EXECUTIVE CENTER DR	STE 222	COLUMBIA	SC	29210-8425	01/01/2019	12/31/2021
CHC08240-00	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-01	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-02	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-03	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-05	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-06	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-07	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-08	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-09	LONGS DRUGS - GARNERS FERRY	9019 GARNERS FERRY ROAD		HOPKINS	SC	29061	10/01/2016	12/31/2021
CHC08240-00	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	07/01/2013	03/31/2022
CHC08240-01	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	07/01/2013	03/03/2022
CHC08240-02	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/03/2022
CHC08240-03	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/02/2022
CHC08240-05	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/03/2022
CHC08240-06	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/03/2022
CHC08240-07	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/03/2022
CHC08240-08	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/03/2022
CHC08240-09	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	01/01/2014	03/03/2022
CHC08240-10	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	10/01/2015	07/01/2016
CHC08240-11	LONGS DRUGS OF FLORENCE	360 N IRBY ST		FLORENCE	SC	29501	10/01/2016	03/03/2022
CHC08240-00	LONGS DRUGS OF LEXINGTON	D/B/A AVITA PHARMACY 1051	1216 W MAIN ST STE D	LEXINGTON	SC	29072-2453	01/01/2019	08/01/2023
CHC08240-02	LONGS DRUGS OF LEXINGTON SC INC		1216 WEST MAIN ST	LEXINGTON	SC	29072	04/01/2016	07/07/2023
CHC08240-00	MEDICINE CABINET OF LAKE CITY	319 MERCY ST		LAKE CITY	SC	29560-2331	01/01/2018
CHC08240-03	MEDICINE CABINET OF LAKE CITY	319 MERCY ST		LAKE CITY	SC	29560-2331	04/01/2018	04/12/2023
CHC08240-00	OPTUM PHARMACY 702, LLC	1050 PATROL RD		JEFFERSONVILLE	IN	47130	05/15/2020
CHC08240-00	OPTUM PHARMACY 705, LLC	3539 BLUECUTT RD		COLUMBUS	MS	39705	05/15/2020	03/01/2025
CHC08240-00	OPTUM PHARMACY 705, LLC	1100 LEE BRANCH LN		BIRMINGHAM	AL	35242-7298	05/15/2020	03/01/2025
CHC08240-00	PIGGLY WIGGLY PHARMACY #112		100 RAILROAD AVENUE P.O. BOX 625	LAMAR	SC	29069	04/01/2014	09/27/2018
CHC08240-02	PIGGLY WIGGLY PHARMACY #112		100 RAILROAD AVENUE P.O. BOX 625	LAMAR	SC	29069	04/01/2014	09/27/2018
CHC08240-00	PIGGLY WIGGLY PHARMACY #48		269 NORTH RON MCNAIR BOULEVARD	LAKE CITY	SC	29560	01/01/2014	09/27/2018
CHC08240-02	PIGGLY WIGGLY PHARMACY #48		269 NORTH RON MCNAIR BOULEVARD	LAKE CITY	SC	29560	01/01/2014	09/27/2018
CHC08240-03	PIGGLY WIGGLY PHARMACY #48		269 NORTH RON MCNAIR BOULEVARD	LAKE CITY	SC	29560	10/01/2013	09/27/2018
CHC08240-05	PIGGLY WIGGLY PHARMACY #48		269 NORTH RON MCNAIR BOULEVARD	LAKE CITY	SC	29560	01/01/2014	10/01/2021
CHC08240-09	PIGGLY WIGGLY PHARMACY #48		269 NORTH RON MCNAIR BOULEVARD	LAKE CITY	SC	29560	01/01/2014	10/01/2021
CHC08240-00	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	10/01/2019	10/01/2022
CHC08240-02	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	10/01/2019	07/07/2023
CHC08240-00	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	07/01/2023
CHC08240-02	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	10/01/2019	07/07/2023
CHC08240-02	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	10/01/2019	07/07/2023
CHC08240-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2021
CHC08240-02	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	01/01/2022	04/12/2023
CHC08240-00	PROCARE PHARMACY, L.L.C.	CVS/PHARMACY #48637	2700 NORTHEAST EXPY NE STE B800 BUILDING B	ATLANTA	GA	30345	10/01/2022	07/15/2022
CHC08240-00	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	07/01/2023	05/01/2025
CHC08240-00	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	07/01/2023	05/01/2025
CHC08240-00	SENDERRA RX PHARMACY	SENDERRA RX PARTNERS, LLC	3712 E PLANO PKWY STE 200	PLANO	TX	75074	04/01/2022
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03597	119 WEST BOYCE STREET	MANNING	SC	29102	04/01/2017
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04150	700 N. MAIN ST	MARION	SC	29571	04/01/2017
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16784	2791 DAVID H MCLEOD BLVD	FLORENCE	SC	29501	04/01/2017
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02353	800 PAMPLICO HIGHWAY	FLORENCE	SC	29505	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03863	301 WEST THOMAS ST.	LAKE CITY	SC	29560	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04071	733 S. IRBY ST.	FLORENCE	SC	29501	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04657	102 EXPRESS LANE	DARLINGTON	SC	29532	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05470	3210 E PALMETTO ST	FLORENCE	SC	29506	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07300	2501 SECOND LOOP RD.	FLORENCE	SC	29501	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07384	120 NORTH LONGSTREET ST.	KINGSTREE	SC	29556	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07609	3306 WEST PALMETTO ST.	FLORENCE	SC	29501	01/01/2016	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03597	119 WEST BOYCE STREET	MANNING	SC	29102	04/01/2017	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04150	700 N. MAIN ST	MARION	SC	29571	04/01/2017	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16784	2791 DAVID H MCLEOD BLVD	FLORENCE	SC	29501	04/01/2017	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02251	41 EAST CALHOUN STREET	SUMTER	SC	29150	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03565	901 MARKET ST.	CHERAW	SC	29520	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03821	2310 W BOBO NEWSOM HWY	HARTSVILLE	SC	29550	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03851	707 CHURCH STREET	CONWAY	SC	29526	10/01/2019	01/06/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03855	236 W. MCINTYRE ST.	MULLINS	SC	29574	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04184	1080 ALICE DRIVE	SUMTER	SC	29150	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05515	601 HWY 17 NORTH	SURFSIDE BEACH	SC	29575	10/01/2019	01/06/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05518	1085 COTTINGHAM BLVD., #3	BENNETTSVILLE	SC	29512	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05531	2195 MAGNOLIA STREET	ORANGEBURG	SC	29115	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05541	205 N. VAN LINGLE MUNGO BLVD.	PAGELAND	SC	29728	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05555	8910 OLD NUMBER SIX HWY	SANTEE	SC	29142	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07359	405 N. FRASER ST.	GEORGETOWN	SC	29440	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07531	206 S. MAIN ST./PO BOX 901	HEMINGWAY	SC	29554	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07598	523 S. MAIN ST	BISHOPVILLE	SC	29010	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07654	2996 E. HWY 501	CONWAY	SC	29526	10/01/2019	01/06/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07697	415 BROOKS ROAD	ANDREWS	SC	29510	10/01/2019	07/18/2022
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	CVS PHARMACY # 16372	1150 SEABOARD ST	MYRTLE BEACH	SC	29577	10/01/2019	01/06/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03843	1211 HWY. 301 NORTH	DILLON	SC	29536	10/01/2019	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03572	1535 JOHN C. CALHOUN DRIVE	ORANGEBURG	SC	29115	01/01/2020	04/12/2023
CHC08240-02	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04281	2500 BROAD STREET	CAMDEN	SC	29020	01/01/2020	01/06/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02250	121 CLEMSON RD	COLUMBIA	SC	29229	04/01/2020
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02269	4310 HARDSCRABBLE ROAD	COLUMBIA	SC	29229	04/01/2020	01/06/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05529	1041 YORK STREET	AIKEN	SC	29801	07/01/2020	01/06/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03892	18252 HERITAGE HWY	DENMARK	SC	29042	10/01/2022	07/15/2022
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07016	10317 OCEAN HIGHWAY 17 SOUTH	PAWLEYS ISLAND	SC	29585	10/01/2022	07/15/2022
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02251	41 EAST CALHOUN STREET	SUMTER	SC	29150	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 02353	800 PAMPLICO HIGHWAY	FLORENCE	SC	29505	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03565	901 MARKET ST.	CHERAW	SC	29520	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03572	1535 JOHN C. CALHOUN DRIVE	ORANGEBURG	SC	29115	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03821	2310 W BOBO NEWSOM HWY	HARTSVILLE	SC	29550	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03843	1211 HWY. 301 NORTH	DILLON	SC	29536	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03855	236 W. MCINTYRE ST.	MULLINS	SC	29574	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 03863	301 WEST THOMAS ST.	LAKE CITY	SC	29560	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04071	733 S. IRBY ST.	FLORENCE	SC	29501	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04184	1080 ALICE DRIVE	SUMTER	SC	29150	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 04657	102 EXPRESS LANE	DARLINGTON	SC	29532	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05470	3210 E PALMETTO ST	FLORENCE	SC	29506	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05518	1085 COTTINGHAM BLVD., #3	BENNETTSVILLE	SC	29512	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05531	2195 MAGNOLIA STREET	ORANGEBURG	SC	29115	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05541	205 N. VAN LINGLE MUNGO BLVD.	PAGELAND	SC	29728	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05555	8910 OLD NUMBER SIX HWY	SANTEE	SC	29142	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07300	2501 SECOND LOOP RD.	FLORENCE	SC	29501	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07359	405 N. FRASER ST.	GEORGETOWN	SC	29440	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07384	120 NORTH LONGSTREET ST.	KINGSTREE	SC	29556	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07531	206 S. MAIN ST./PO BOX 901	HEMINGWAY	SC	29554	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07598	523 S. MAIN ST	BISHOPVILLE	SC	29010	04/01/2023
CHC08240-00	SOUTH CAROLINA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 07609	3306 WEST PALMETTO ST.	FLORENCE	SC	29501	04/01/2023
CHC08240-00	STUCKEY PHARMACY, LLC	207 S MAIN ST		HEMINGWAY	SC	29554	10/01/2021	09/14/2021
CHC08240-00	SUMMERTON DRUGS COMPOUNDING & DISPENSARY	115B MAIN ST	PO BOX 37	SUMMERTON	SC	29148	07/01/2025
CHC08240-06	SUMMERTON DRUGS INC	115 MAIN ST	PO BOX 37	SUMMERTON	SC	29148-6904	04/01/2018	04/12/2023
CHC08240-08	SUMMERTON DRUGS INC	115 MAIN ST	PO BOX 37	SUMMERTON	SC	29148-6904	04/01/2018	04/12/2023
CHC08240-00	SUMMERTON DRUGS INC	115 MAIN ST	PO BOX 37	SUMMERTON	SC	29148-6904	04/01/2018
CHC08240-00	SUP-RX PHARMACY #92	1945 WEST PALMETTO STREET	SUITE 32	FLORENCE	SC	29501-3919	04/01/2014	09/27/2018
CHC08240-02	SUP-RX PHARMACY #92	1945 WEST PALMETTO STREET	SUITE 32	FLORENCE	SC	29501-3919	04/01/2014	09/27/2018
CHC08240-00	THE PHARMACY	2500 HOFFMEYER RD		FLORENCE	SC	29501-7407	01/01/2021	06/01/2021
CHC08240-00	TIMMONSVILLE PHARMACY	309 E SMITH ST		TIMMONSVILLE	SC	29161-1821	04/01/2014
CHC08240-02	TIMMONSVILLE PHARMACY	309 E SMITH ST		TIMMONSVILLE	SC	29161-1821	04/01/2014	04/12/2023
CHC08240-07	TIMMONSVILLE PHARMACY	309 E SMITH ST		TIMMONSVILLE	SC	29161-1821	10/01/2013	04/12/2023
CHC08240-02	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2017	10/09/2023
CHC08240-00	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	10/01/2023
CHC08240-00	WAL-MART PHARMACY #10-1017	2010 PAXVILLE HIGHWAY		MANNING	SC	29102	04/01/2014
CHC08240-02	WAL-MART PHARMACY #10-1017	2010 PAXVILLE HIGHWAY		MANNING	SC	29102	04/01/2014	05/10/2023
CHC08240-00	WAL-MART PHARMACY 10-0511	1283 BROAD STREET		SUMTER	SC	29150	07/01/2019
CHC08240-00	WAL-MART PHARMACY 10-0514	2035 WHISKEY ROAD		AIKEN	SC	29803	04/01/2020	02/01/2022
CHC08240-00	WAL-MART PHARMACY 10-0574	2751 BEAVER RUN BLVD		SURFSIDE (MYRTLE BEACH)	SC	29575	04/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-0586	2709-A CHURCH STREET		CONWAY	SC	29526	07/01/2019	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-0616	2795 NORTH RD		ORANGEBURG	SC	29118	04/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-0621	900 HWY 52		LAKE CITY	SC	29560	04/01/2014
CHC08240-02	WAL-MART PHARMACY 10-0621	900 HWY 52		LAKE CITY	SC	29560	04/01/2014	05/10/2023
CHC08240-00	WAL-MART PHARMACY 10-0625	1310 N FRASER STREET		GEORGETOWN	SC	29440	04/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-0627	805 ENTERPRISE RD		DILLON	SC	29536	07/01/2019
CHC08240-00	WAL-MART PHARMACY 10-0630	230 NORTH BELTLINE DR		FLORENCE	SC	29501	04/01/2014
CHC08240-02	WAL-MART PHARMACY 10-0630	230 NORTH BELTLINE DR		FLORENCE	SC	29501	04/01/2014	05/10/2023
CHC08240-00	WAL-MART PHARMACY 10-0634	2240 W. DEKALB STREET		CAMDEN	SC	29020	01/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-0642	1040 CHESTERFIELD HWY 10		CHERAW	SC	29520	04/01/2020
CHC08240-00	WAL-MART PHARMACY 10-1135	1150 S 4TH STREET		HARTSVILLE	SC	29550	07/01/2019
CHC08240-00	WAL-MART PHARMACY 10-1146	511 NO. HWY 52		MONCKS CORNER	SC	29461	07/01/2019	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-1155	5070 FAYETTEVILLE RD		LUMBERTON	NC	28358	04/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-1829	305 COMMERCE DRIVE		MARION	SC	29571	10/01/2018
CHC08240-00	WAL-MART PHARMACY 10-2703	2014 SO. IRBY STREET		FLORENCE	SC	29505	04/01/2014
CHC08240-02	WAL-MART PHARMACY 10-2703	2014 SO. IRBY STREET		FLORENCE	SC	29505	04/01/2014	05/10/2023
CHC08240-00	WAL-MART PHARMACY 10-2870	3915 NORTH KINGS HIGHWAY		MYRTLE BEACH	SC	29577	04/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-4420	115 EAST CHURCH STREET		LEESVILLE	SC	29070	04/01/2020	01/12/2023
CHC08240-00	WAL-MART PHARMACY 10-4487	WAL-MART STORES EAST, LP	3581 RICHLAND AVENUE SW	AIKEN	SC	29801	04/01/2020	02/01/2022
CHC08240-00	WAL-MART PHARMACY 10-5383	615 BULTMAN DRIVE		SUMTER	SC	29150	01/01/2020	01/12/2023
CHC08240-02	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2017	10/09/2023
CHC08240-00	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	10/01/2023
CHC08240-00	WAL-MART PHARMACY 10-7217	2503 WEST 5TH STREET		LUMBERTON	NC	28358	04/01/2020	01/12/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 06074	1000 BROAD ST	SUMTER	SC	29150	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 07155	1500 S IRBY STREET	FLORENCE	SC	29505-3408	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 07399	423 W MAIN ST	LEXINGTON	SC	29072-2637	10/01/2015	03/14/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 07506	1290 CHESTNUT STREET	ORANGEBURG	SC	29115-3567	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 07626	2498 2ND LOOP ROAD	FLORENCE	SC	29501-6162	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 09276	1990 MCCRAYS MILL RD.	SUMTER	SC	29150-6185	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 09737	1005 S GOVERNOR WILLIAMS HWY	DARLINGTON	SC	29532	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #09761	502 GAPWAY	MULLINS	SC	29574-3414	10/01/2015	06/11/2020
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 09879	1106 JOHN C CALHOUN DRIVE	ORANGEBURG	SC	29115	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #10329	901 S. 5TH ST.	HARTSVILLE	SC	29550	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS # 10447	1210 HWY 301 NORTH	DILLON	SC	29536-2455	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #10581	1228 KNOX AVE.	NORTH AUGUSTA	SC	29841-4055	10/01/2015	03/14/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #10595	1146 CHERAW ST.	BENNETTSVILLE	SC	29512	10/01/2015	02/28/2019
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #11432	4380 JEFFERSON DAVIS HWY.	BEECH ISLAND	SC	29842	10/01/2015	03/14/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #11724	201 N. LAFAYETTE DR.	SUMTER	SC	29150-4341	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #11849	2191 WHISKEY RD.	AIKEN	SC	29803	10/01/2015	03/14/2023
CHC08240-02	WALGREEN CO.	DBA: WALGREENS #12795	3510 RICHLAND AVE. W	AIKEN	SC	29801	10/01/2015	11/13/2019
CHC08240-02	WALGREEN CO.	WALGREENS #15997	726 SOUTH IRBY STREET	FLORENCE	SC	29501	10/01/2015	07/07/2023
CHC08240-02	WALGREEN CO.	WALGREENS #16396	805 PAMPLICO HWY. SUITE B-130	FLORENCE	SC	29505	07/01/2016	06/08/2022
CHC08240-00	WALGREEN CO.	RITE AID #11624	204 W PINE ST	FLORENCE	SC	29501	07/01/2018	10/01/2021
CHC08240-00	WALGREEN CO.	RITE AID #11623	1825 W PALMETTO ST	FLORENCE	SC	29501-2921	07/01/2018	08/30/2018
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 07154	1601 CHURCH STREET	CONWAY	SC	29526-2959	07/01/2019
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 09232	2407 BROAD ST	CAMDEN	SC	29020-2342	07/01/2019
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 06076	8395 DORCHESTER RD	NORTH CHARLESTON	SC	29418	04/01/2020
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 09834	1098 N FRASER ST	GEORGETOWN	SC	29440-2848	04/01/2020
CHC08240-00	WALGREEN CO.	DBA: WALGREENS #10814	601 HWY. 17 N	NORTH MYRTLE BEACH	SC	29582-2905	04/01/2020
CHC08240-00	WALGREEN CO.	WALGREENS #15648	821 WESTWOOD WAY	LAURINBURG	NC	28352	04/01/2020
CHC08240-00	WALGREEN CO.	WALGREENS #17078	515 S HAMPTON ST	KERSHAW	SC	29067	04/01/2020
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 06074	1000 BROAD ST	SUMTER	SC	29150	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 07155	1500 S IRBY STREET	FLORENCE	SC	29505-3408	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 07506	1290 CHESTNUT STREET	ORANGEBURG	SC	29115-3567	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 07626	2498 2ND LOOP ROAD	FLORENCE	SC	29501-6162	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 09276	1990 MCCRAYS MILL RD.	SUMTER	SC	29150-6185	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 09737	1005 S GOVERNOR WILLIAMS HWY	DARLINGTON	SC	29532	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 09879	1106 JOHN C CALHOUN DRIVE	ORANGEBURG	SC	29115	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS #10329	901 S. 5TH ST.	HARTSVILLE	SC	29550	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS # 10447	1210 HWY 301 NORTH	DILLON	SC	29536-2455	07/01/2023
CHC08240-00	WALGREEN CO.	DBA: WALGREENS #11724	201 N. LAFAYETTE DR.	SUMTER	SC	29150-4341	07/01/2023
CHC08240-00	WALGREEN CO.	WALGREENS #15997	726 SOUTH IRBY STREET	FLORENCE	SC	29501	07/01/2023	01/21/2025
CHC08240-00	WALGREENS MAIL SERVICE, LLC	WALGREENS MAIL SERVICE #03397	8350 S RIVER PARKWAY	TEMPE	AZ	85284	10/01/2019
CHC08240-02	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	10/01/2019	03/14/2023
CHC08240-02	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2019	03/14/2023
CHC08240-02	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	10/01/2019	07/07/2023
CHC08240-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2019
CHC08240-00	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	07/01/2023
CHC08240-00	WALGREENS.COM, INC.	DBA: WALGREENS	2225 S. PRICE ROAD	CHANDLER	AZ	85286	10/01/2019
CHC08240-00	WALMART PHARMACY #10-4457	336 HWY 9 WEST		BENNETTSVILLE	SC	29512	04/01/2020
CHC08240-00	WALMART PHARMACY 10-0377	343 PINEWOOD ROAD		SUMTER	SC	29150	01/01/2020	01/12/2023
CHC08240-02	WALMART PHARMACY 10-3638	804 S. CASHUA DRIVE		FLORENCE	SC	29501	07/01/2017	10/09/2023
CHC08240-00	WALMART PHARMACY 10-3638	804 S. CASHUA DRIVE		FLORENCE	SC	29501	10/01/2023
CHC08240-00	WALMART PHARMACY 10-3724	332 STONE WALL JACKSON BLVD		ORANGEBURG	SC	29115	04/01/2020	01/12/2023
CHC08240-00	WALMART PHARMACY 10-5169	2252 NORTH 8TH STREET	SUITE A	ROGERS	AR	72756	04/01/2023
CHC08240-02	WALMART PHARMACY 10-7188	251 ANDOVER PLACE		DARLINGTON	SC	29532	07/01/2017	10/09/2023
CHC08240-00	WALMART PHARMACY 10-7188	251 ANDOVER PLACE		DARLINGTON	SC	29532	10/01/2023
CHC08240-00	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	01/01/2024
CHC08240-00	WILLIAMSBURG PHARMACY, INC.	411 THURGOOD MARSHALL BOULEVARD		KINGSTREE	SC	29556	04/01/2014	04/08/2024
CHC08240-02	WILLIAMSBURG PHARMACY, INC.	411 THURGOOD MARSHALL BOULEVARD		KINGSTREE	SC	29556	04/01/2014	09/27/2018

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Medicaid Billing	NPI: Number	Insert	Recertification		1346601812	3/3/2025 3:59 PM
Medicaid Billing	NPI: State	Insert	Recertification		SC	3/3/2025 3:59 PM
Medicaid Billing	NPI: Number	Insert	Recertification		1164198016	3/3/2025 3:59 PM
Medicaid Billing	NPI: State	Insert	Recertification		SC	3/3/2025 3:59 PM
Details	Last Recertification Date	Update	Recertification	2/20/2024 1:00:55 PM	3/3/2025 3:59:34 PM	3/3/2025 3:59 PM
Details	Last Recertification Date	Update	Recertification	2/7/2023 9:38:35 AM	2/20/2024 1:00:55 PM	2/20/2024 1:00 PM
Addresses	Main Address	Update	Change Request	157 Home Avenue Darlington, SC 29532	157 Home Ave Darlington, SC 29532	7/13/2023 4:00 PM
Details	Entity Name	Update	Change Request	Hopehealth Inc	HopeHealth, Inc.	7/13/2023 4:00 PM
Details	Last Recertification Date	Update	Recertification	1/31/2022 2:45:11 PM	2/7/2023 9:38:35 AM	2/7/2023 9:38 AM
Contacts	Primary Contact	Update	Recertification	Lynch, Andrew C Financial Analyst HopeHealth 8436679414-1922	Epps, Christi Chief Pharmacy Officer HopeHealth 8032061382	1/31/2022 2:45 PM
Details	Last Recertification Date	Update	Recertification	2/4/2021 8:44:44 AM	1/31/2022 2:45:11 PM	1/31/2022 2:45 PM
Medicaid Billing	NPI: Number	Delete	Recertification	1124564497 ( )		2/4/2021 8:44 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1124564497	2/4/2021 8:44 AM
Medicaid Billing	NPI: State	Insert	Recertification		SC	2/4/2021 8:44 AM
Details	Last Recertification Date	Update	Recertification	2/6/2020 7:03:17 AM	2/4/2021 8:44:44 AM	2/4/2021 8:44 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	2/6/2020 7:03 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		FQC162	2/6/2020 7:03 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		SC	2/6/2020 7:03 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1124564497	2/6/2020 7:03 AM
Contacts	Primary Contact	Update	Recertification	HILTON, DEENA COO HopeHealth 8436679414-1505	Lynch, Andrew C Financial Analyst HopeHealth 8436679414-1922	2/6/2020 7:03 AM
Details	Last Recertification Date	Update	Recertification	2/11/2019 10:32:20 AM	2/6/2020 7:03:17 AM	2/6/2020 7:03 AM
Addresses	Main Address	Update	Recertification	360 North Irby Street Darlington, SC 29501	157 Home Avenue Darlington, SC 29532	2/11/2019 10:32 AM
Details	Last Recertification Date	Update	Recertification		2/11/2019 10:32:20 AM	2/11/2019 10:32 AM
Details	State	Update		Approved	Active	7/1/2018 12:00 AM
Contacts	Signed By	Insert	New Registration		Humphries, Carl CEO HopeHealth 8436679414-1500	4/20/2018 2:59 PM
Details	340B ID	Update	New Registration		CHC08240-12	4/20/2018 2:59 PM
Dates	Participating Approval Date	Update	New Registration		4/20/2018 2:59:02 PM	4/20/2018 2:59 PM
Details	State	Update	New Registration	Pending	Approved	4/20/2018 2:59 PM
Dates	Signed By Date	Update	New Registration		4/11/2018 10:18:13 AM	4/20/2018 2:59 PM
Dates	Start Date	Update	New Registration		7/1/2018 12:00:00 AM	4/20/2018 2:59 PM
Addresses	Main Address	Insert	New Registration		360 North Irby Street Darlington, SC 29501	4/11/2018 10:18 AM
Addresses	Billing Address	Insert	New Registration		HopeHealth 360 North Irby Street Florence, SC 29501	4/11/2018 10:18 AM
Contacts	Authorizing Official	Insert	New Registration		Humphries, Carl CEO HopeHealth 8436679414-1500	4/11/2018 10:18 AM
Contacts	Primary Contact	Insert	New Registration		HILTON, DEENA COO HopeHealth 8436679414-1505	4/11/2018 10:18 AM
Details	Last Recertification Date	Insert	New Registration			4/11/2018 10:18 AM
Details	Grant Number	Insert	New Registration		H80CS08240	4/11/2018 10:18 AM
Details	340B ID	Insert	New Registration			4/11/2018 10:18 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/11/2018 10:18 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/11/2018 10:18 AM
Details	Medicare Provider Number	Insert	New Registration			4/11/2018 10:18 AM
Details	Entity Name	Insert	New Registration		Hopehealth Inc	4/11/2018 10:18 AM
Details	Program Code	Insert	New Registration		CH	4/11/2018 10:18 AM
Details	Entity Subname	Insert	New Registration		HopeHealth Bethea	4/11/2018 10:18 AM
Dates	Participating Approval Date	Insert	New Registration			4/11/2018 10:18 AM
Details	State	Insert	New Registration		Pending	4/11/2018 10:18 AM
Dates	Registration Date	Insert	New Registration		4/11/2018 10:18:10 AM	4/11/2018 10:18 AM
Dates	Signed By Date	Insert	New Registration			4/11/2018 10:18 AM
Dates	Start Date	Insert	New Registration			4/11/2018 10:18 AM
Terminations	Termination Comments	Insert	New Registration			4/11/2018 10:18 AM
Terminations	Termination Date	Insert	New Registration			4/11/2018 10:18 AM
Terminations	Termination Effective Date	Insert	New Registration			4/11/2018 10:18 AM
Terminations	Termination Reason	Insert	New Registration			4/11/2018 10:18 AM

340B Drug Pricing Program Database